ATI RN PHARMACOLOGY
ONLINE PRACTICE A 2023 WITH NGN
QUESTIONS AND A+ RATIONALIZED ANSWERS
1. A nurse is providing teaching to a client who has peptic ulcer disease andis starting a
new prescription for sucralfate.Which of the following actions ofsulcralfate should the
nurse inclide in the teaching
ANS~ Forms a protective barrierover ulcers
Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creatinga barrier to
hydrochloric acid
2. A nurse is providing teaching to a client who has multiple sclerosis and a new
prescription for methlypredinisolone. which of the following instructionsshould the nurse
include?
ANS~ Blood glucose levels will be monitored during therapy
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Avoid contact with people who have known infections
Grapefruit juice can increase the effects of the medication is correct
3. A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry flavoredlozenges on a stick. Which
of the following information should the nurse include in the teaching?
ANS~ Store unused medication sticks in a storage container
the nurse should instruct the client to store unused, used, or partially used medica-tion sticks in
the safe storage container that comes in the kit when the medication isinitially prescribed.
4. A nurse is reviewing the ECG of a client who is receiving IV furosemide for HF.The
nurse should identify which of the following as an indication ofhypokalemia?
ANS~ Presence of U waves
The nurse should identify the presence of U-waves as a manifestation of hy-pokalemia,
an adverse effect of furosemide
5. A nurse is caring for a client who has cancer and is taking morphine and docusate
sodium.The nurse should instruct the client that taking the
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dosusate sodium daily can minimize which of the following adverse effectsof
morphine?
ANS~ Constipation
constipation is a common adverse effect of morphine that can be minimized by taking
docusate sodium, a stool softener that promotes easier evacuation of stoolby increasing water
and fat in the intestine.
6. A nurse is planning care for a clienct who is receiving mannitol via continu- ous IV
infusion. The nurse should monitor the client for which of the following adverse effects?
ANS~ Bibasilar crackles
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mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema.therefore,
the nurse should recognize lung crackles as an indicator of a potential complication and stop
the infusion.
7. A nurse is providing teaching to a client who has a gastric ulcer and a
new prescription for ranitidine. which of the following instructions should thenurse
include?
ANS~ Report yellowing of the skin
Famotidine can be hepatotoxic and cause jaundice. the nurse should instruct theclient to
monitor for and report yellowing of the skin or eyes to the provider.
8. A nurse is assessing a client after administering a second dose of cefazolin
IV.The nurse notes the client has anxiety, hypotension, and dyspnea.Which ofthe following
medications should the nurse administer first?
ANS~ Epinephrine
According to evidence-based practice, the nurse should administer epinephrine firstto induce
vasoconstriction and bronchodilation during anaphylaxis.
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